CMS Price Transparency Data

Blood test, lipase

Facility: Sanford Westbrook Medical Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83690
Insurance Median: $217
Cash Discount Price: $208
vs. Medicare Baseline: 31.49x Medicare

The contracted insurance negotiated median rate for a Blood test, lipase at Sanford Westbrook Medical Center is $217. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $208. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 31.49x the Medicare baseline. Located in 920 Bell Avenue Po Box 188, Westbrook, MN.

Cash / Self-Pay

$208

Average discount available for prompt cash payment at this facility.

Insurance Median

$217

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$6.89

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $6.89 (100%)

Cash / Self-Pay: $208 (3019%)

Insurance Median: $217 (3149%)

Cash: $208 (3019% of Medicare)

Ins. Median: $217 (3149% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $6.89 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 3149% of the Medicare baseline (a markup of 3049%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Blue Cross Blue Shield	$63 - $241	914%
Sanford Health Plan Align	$111	1611%
Ucare	$119 - $228	1727%
Wellmark Sd	$119	1727%
Aetna	$121 - $226	1756%
Health Partners	$121 - $208	1756%
Medicare (plans)	$121	1756%
UnitedHealthcare	$121 - $217	1756%
Primewest	$123 - $132	1785%
Security Health Plan	$143	2075%
Sanford Health Plan	$205 - $241	2975%
Medica	$229 - $246	3324%
Cigna	$234	3396%
First Choice Health Network	$234	3396%
Healthez	$234	3396%
Multiplan	$234	3396%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $208.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 83690.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Sanford Westbrook Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 83690.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.